Italian Journal of Vascular and Endovascular Surgery vol:14 issue:4 pages:301-304
In an ageing population, stroke is a major cause of disability and the second leading cause of mortality in Western countries. The golden standard for treating carotid artery occlusive disease, even for patients aged 80 years and older, is still surgical endarterectomy with an acceptable immediate and long term clinical outcome. However, minimal invasive alternative treatments, like carotid artery stenting are very attractive for both the patient and the physician, but early reports dealing with carotid stenting in octogenarians were disappointing with a too high rate of 30-days stroke and death rate. However, better patient selection and better knowledge of the vascular anatomy which is (un-)favourable for stenting as well as an increased experience of the interventionalist in carotid artery stenting can result in a succesful clinical outcome after carotid artery stenting with short- and midterm results comparable with surgery.